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Individual

KEITH ALLEN BEAULIEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
540 N DUKE ST, SUITE 244, LANCASTER, PA 17602-2374
(717) 544-4930
(717) 544-4964
Mailing address
540 N DUKE ST, SUITE 244, LANCASTER, PA 17602-2374
(717) 544-4930
(717) 544-4964

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MT182532
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023706850001
PA
Enumeration date
07/16/2008
Last updated
01/14/2010
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